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Quantifying the Adequacy of Opioid Analgesic Consumption Globally: An Updated Method and Early Findings

American journal of public health (1971), 2019-01, Vol.109 (1), p.52-57 [Peer Reviewed Journal]

Copyright American Public Health Association Jan 2019 ;American Public Health Association 2019 2019 ;ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2018.304753 ;PMID: 30496006

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Title:
Quantifying the Adequacy of Opioid Analgesic Consumption Globally: An Updated Method and Early Findings
Author: Scholten, Willem K ; Christensen, Ann-Eva ; Olesen, Anne Estrup ; Drewes, Asbjørn Mohr
Subjects: Adequacy ; AJPH Pain Management ; Analgesics ; Analgesics, Opioid - therapeutic use ; Consumption ; Developed countries ; Developing Countries ; Drug Prescriptions - statistics & numerical data ; Drugs ; Epidemiology ; Equivalence ; Germany ; Global Health ; GNP ; Gross National Product ; Health Policy ; Health Service Delivery ; Health Services Accessibility - statistics & numerical data ; Human Development Index ; Humans ; Industrialized nations ; Morbidity ; Morphine ; Narcotics ; Nigeria ; Opioids ; Other Statistics/Evaluation/Research ; Pain ; Pain - drug therapy ; Pain management ; Pain Management - methods ; Pain Management - statistics & numerical data ; Public health ; Statistics ; Studies ; World Health Organization
Is Part Of: American journal of public health (1971), 2019-01, Vol.109 (1), p.52-57
Description: Opioid analgesics are the mainstay for treatment of moderate and severe pain but, in many countries, the consumption of these medicines is inadequate. Over time, various groups have published opioid analgesic metrics, including authors from the World Health Organization. They linked consumption to a level considered adequate based on the actual consumption in developed countries. In this study, we present our current results on the adequacy of opioid analgesic consumption. We included statistics for 18 controlled opioid medicines that are primarily used as analgesics, and we developed the Adequacy of Opioid Consumption (AOC) Index. The average of the 20 most developed countries for 2015 is set as equal to an AOC Index of 100. An AOC Index of 100 or higher is considered adequate consumption. The average opioid analgesic consumption of the top-20 countries of the Human Development Index increased from 84 morphine milligram equivalents per capita (2000) to 256 morphine milligram equivalents per capita (2015). The extremes we found for 2015 were Germany (AOC Index: 304) and Nigeria (AOC Index: 0.0069). These extremes differ by 44 000 times. Adequacy of opioid analgesic consumption continues to be problematic around the world.
Publisher: United States: American Public Health Association
Language: English
Identifier: ISSN: 0090-0036
EISSN: 1541-0048
DOI: 10.2105/AJPH.2018.304753
PMID: 30496006
Source: ProQuest One Psychology
MEDLINE
PubMed Central
ProQuest Central

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Quantifying the Adequacy of Opioid Analgesic Consumption Globally: An Updated Method and Early Findings

Copyright American Public Health Association Jan 2019 ;American Public Health Association 2019 2019 ;ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2018.304753 ;PMID: 30496006

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